Hernández Peñafiel José Alfonso, López Farfán José Angel, Ramos Alvarez Gloria, López Colombo Aurelio
Ginecólogo y obstetra, Hospital General Regional 36, IMSS, Puebla.
Ginecol Obstet Mex. 2007 Feb;75(2):61-7.
To determine the clinical features, as well as to present an analysis of the cases of maternal death during a period of ten years.
A descriptive, transverse, retrospective and cases series research was carried out. There was a revision of the expedients of maternal death occurred at the Regional General Hospital number 36 in Puebla, from January 1st, 1996 to December 31st, 2005. They were selected the patients who passed away because of obstetric death. The data collection included the following variables: age, body mass index, education, number of gestations, type of labour, prenatal control, basic cause of dead, and the month and the year in which it occurred. The descriptive statistics was used with central tendency and dispersion measurements.
75 maternal deaths were registered; one of them was excluded because it was not an obstetric cause. The maternal death rate was 63.46 per 100,000 born alive. The 17.5% corresponded to indirect obstetric causes and 82.5% to direct obstetric causes; the 73% were preventable, 27% were no preventable. Forty-eight cases corresponded to ages between 21 and 34 years. Forty-six cases corresponded to mothers with 2 to 4 pregnancies. In 43 cases they had a level of education which ranks between elementary and junior high school. In 31 cases they had a body mass index of 21 to 26. The eclampsia was the cause of maternal death in 20 cases and the obstetric haemorrhage in 16 cases. There were appropriate prenatal controls in 38 cases.
The maternal death cases corresponded to an average age women, multigravidas, no obese, and apparently appropriate prenatal control. During this period there was a tendency to the decrease of obstetric haemorrhage and an increase of the preeclampsia-eclampsia as causes of maternal death.
确定临床特征，并对十年间的孕产妇死亡病例进行分析。
开展了一项描述性、横断面、回顾性病例系列研究。对1996年1月1日至2005年12月31日期间在普埃布拉第36号地区综合医院发生的孕产妇死亡病例档案进行了审查。选取因产科原因死亡的患者。数据收集包括以下变量：年龄、体重指数、教育程度、妊娠次数、分娩类型、产前检查、死亡根本原因以及死亡发生的月份和年份。使用描述性统计方法进行集中趋势和离散度测量。
登记了75例孕产妇死亡病例；其中1例因非产科原因被排除。孕产妇死亡率为每10万活产儿63.46例。17.5%为间接产科原因，82.5%为直接产科原因；73%是可预防的，27%是不可预防的。48例病例年龄在21至34岁之间。46例病例为有2至4次妊娠的母亲。43例病例的教育程度在小学至初中之间。31例病例的体重指数为21至26。子痫是20例孕产妇死亡的原因，产科出血是16例孕产妇死亡的原因。38例病例有适当的产前检查。
孕产妇死亡病例对应的是平均年龄的女性、多产妇、非肥胖者，且产前检查明显适当。在此期间，作为孕产妇死亡原因，产科出血有减少趋势，而子痫前期 - 子痫有增加趋势。
